What is the recommended precaution for patients with a history of kidney transplants prior to dental treatment?

• A. No change needed
• B. Refer for extractions
• C. Premedication due to immunosuppression
• D. Consult with the nephrologist only

Answer: (C)

The recommended precaution for patients with a history of kidney transplants prior to dental treatment is premedication due to immunosuppression. Patients who have undergone kidney transplantation typically are placed on immunosuppressive therapy to prevent organ rejection. This medication regimen can increase their risk of infections and complicate their body's ability to recover from procedures that may lead to bacteremia, such as dental work.

Premedication with antibiotics is often advised for these patients to mitigate the risk of infective endocarditis or other post-procedural infections. It is a precautionary measure that addresses the compromised immune response due to the immunosuppressive drugs they are taking.

While other options might suggest different approaches, they do not address the crucial aspect of immunosuppression that necessitates careful consideration before performing dental procedures on these patients. Consulting a nephrologist may also be wise in certain situations, but primary management should focus on the need for antibiotics to protect against infections associated with dental treatment.